Adult Social Care Record (MODS): Adult Social Care Record (MODS) Implementation Guidance

This use case does not follow the structure of the others, as there are multiple scenarios involved. Instead we have identified a range of user needs which combine to describe the benefits of a properly structured record.

<tr>
  <td>Person receiving care</td>
  <td>
    Everyone involved in my care and support to have access to comprehensive and up-to-date
    information about my care and support needs
  </td>
  <td>
    I get the right level and type of care and support at the right time
  </td>
  <td>
    About Me<br>
    Observations such as<br>
    Needs, Risks, Wishes, Preferences, Strengths<br><br>
    Problems<br>
    Medication management<br>
    Allergies and adverse reactions
  </td>
  <td></td>
</tr>

<tr>
  <td>Care actor</td>
  <td>
    My involvement as a carer to be included in the Digital Social Care Record
  </td>
  <td>
    Professionals are aware of the role I play in caring for/supporting the individual,
    and are able to involve me appropriately throughout the individual's care journey
  </td>
  <td>Carers</td>
  <td></td>
</tr>

<tr>
  <td>Data SME</td>
  <td>
    I need to understand the definitions, formats and processes used to collect data
    from various organisations and people and ensure that is consistent
  </td>
  <td>
    I can provide aggregate data that is statistically valid, consistent over time,
    and fit for a wide range of purposes
  </td>
  <td></td>
  <td></td>
</tr>

<tr>
  <td>Data SME</td>
  <td>
    Client/person level data to align with existing data sources about individuals,
    eg PDS, GP Connect
  </td>
  <td>
    To avoid duplication of records, so that aggregate data gives a more accurate picture
    across the whole population
  </td>
  <td>MODS</td>
  <td>
    PDS<br>
    GP Connect
  </td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>
    My records to be populated with accurate, up-to-date data about health conditions,
    allergies and adverse reactions, prescriptions, etc from the GP's records; and this
    data to be updated in real time if it changes
  </td>
  <td>
    (a) I can ensure the person receiving care’s day-to-day health needs are being met correctly<br>
    (b) I don't need to re-create/re-enter data that is already held digitally
  </td>
  <td>
    About Me<br>
    Observations including but not limited to<br>
    Needs, Risks, Wishes, Preferences, Strengths
  </td>
  <td>GP Connect</td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>
    Confidence that I have a legitimate reason to hold/access all the data held within the DSCR/MODS
  </td>
  <td>I am fully compliant with the GDPR</td>
  <td></td>
  <td></td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>
    New care and support packages arriving from the local authority to contain as much detail as possible
    about the individual's care and support needs, health conditions (including cognitive and sensory
    impairments) and desired outcomes
  </td>
  <td>
    I don't need to repeat any aspects of the needs assessment process which others have already undertaken
  </td>
  <td>
    Observations including but not limited to<br>
    Needs, Risks, Wishes, Preferences, Strengths
  </td>
  <td>
    Care Act eligibility assessment<br>
    LA care and support plan<br>
    GP Connect
  </td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>
    New care and support packages arriving from the local authority to include a clear statement of the care
    and support being commissioned, including time and cost
  </td>
  <td>
    I can ensure the care and support I provide is in line with the funding available for it
  </td>
  <td></td>
  <td>
    LA care and support plan<br>
    LA funding – time and budget
  </td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>To locate data sources about indicators/metrics</td>
  <td>
    I can incorporate data collection needs into my internal working processes as efficiently as possible
  </td>
  <td></td>
  <td>
    NHS Digital<br>
    CQC<br>
    Skills for Care
  </td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>
    Confidence that the DSCR/MODS is fully aligned with statutory/regulatory requirements
  </td>
  <td>
    I can be certain that by adopting MODS I am meeting all these requirements
  </td>
  <td>MODS</td>
  <td>
    Primary and secondary legislation<br>
    CQC guidance<br>
    NICE guidance
  </td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>
    To be consulted/informed about changes to statutory requirements, data standards,
    data gathering requirements, registration requirements etc
  </td>
  <td>
    I can be fully prepared for changes which will impact on the way I provide care and support
    and/or capture data
  </td>
  <td></td>
  <td></td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>Access to standard national datasets and data standards</td>
  <td>
    I can review/compare them against the data I capture in my own systems
  </td>
  <td></td>
  <td></td>
</tr>

<tr>
  <td>Operational SME (care provider)</td>
  <td>
    To be notified when someone I provide domiciliary care for is admitted to hospital
  </td>
  <td>I do not have to make unnecessary visits</td>
  <td></td>
  <td>Hospital systems</td>
</tr>

<tr>
  <td>Operational SME (health)</td>
  <td>
    Clear and accurate information about the care and support needs of a person with sensory or
    cognitive impairment, learning disabilities and/or mental health needs when they are admitted to hospital
  </td>
  <td>
    We can communicate with them effectively and take account of their needs in the way we care for them in hospital
  </td>
  <td>
    About Me<br>
    Observations including but not limited to<br>
    Needs, Risks, Wishes, Preferences, Strengths<br>
    Care and support plan<br>
    Carers
  </td>
  <td>About Me</td>
</tr>

<tr>
  <td>Operational SME (health)</td>
  <td>
    Clear and accurate information about the care and support arrangements available at home
    when someone is discharged from hospital
  </td>
  <td>
    We know if it is safe and appropriate to discharge the individual back home
  </td>
  <td>
    Care and support plan<br>
    Carers
  </td>
  <td></td>
</tr>

<tr>
  <td>Operational SME (social work)</td>
  <td>
    Data from care providers and TEC systems at an appropriate level of detail about the
    day-to-day care and support provided to an individual and the outcomes being achieved
  </td>
  <td>
    (a) Contribute to the annual review of the individual's care and support plan<br>
    (b) Flag any significant changes in care and support needs<br>
    (c) Ensure commissioning meets current and future demand
  </td>
  <td>
    Instructions<br>
    Activities<br>
    Actions<br>
    Alert<br>
    Outcome
  </td>
  <td>
    TEC data<br>
    Day-to-day care record<br>
    Hospital admissions/discharges<br>
    Changes in care and support needs
  </td>
</tr>

<tr>
  <td>
    Operational SME (social work)<br>
    Operational SME (care provider)
  </td>
  <td>
    To record data once in the system, ensure it is complete and accurate, and be confident
    that it will reach everyone else who needs to see it
  </td>
  <td>
    To reduce the time pressure of constantly re-entering data and responding to requests
    for routine information
  </td>
  <td>MODS</td>
  <td></td>
</tr>

<tr>
  <td>System SME (system administrator)</td>
  <td>
    To be consulted/informed about changes to statutory requirements, data standards,
    data gathering requirements, registration requirements etc
  </td>
  <td>
    I can be fully prepared for changes which will impact on the way I capture data
  </td>
  <td></td>
  <td></td>
</tr>

<tr>
  <td>System SME (system supplier)</td>
  <td>To locate data sources about indicators/metrics</td>
  <td>
    I can ensure that data is captured correctly to auto-populate the statutory returns
    required of my clients
  </td>
  <td>MODS</td>
  <td></td>
</tr>

<tr>
  <td>System SME (system supplier)</td>
  <td>To locate person-specific data sources</td>
  <td>
    I can create the functionality to import person-specific data from reliable and
    trustworthy sources to save double-entry and data quality issues
  </td>
  <td></td>
  <td>
    Data Catalogue<br>
    PDS<br>
    GP Connect
  </td>
</tr>

MODS user needs and data source mapping across care, health, social work, and system roles

As a…	I need…	So that…	MODS data sources	Other data sources
Person receiving care	To tell people about my care and support needs (including any changes to what I need) once and once only	(a) I don't have to keep repeating myself to all the different professionals involved in my life (b) my care and support can adapt to meet my changing needs	About Me Observations including but not limited to Needs, Risks, Wishes, Preferences, Strengths